FORM 1023-EZ for IMPACNYC

Field Data
EIN 81-5008204
Case Number EO-2017083-000081
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IMPACNYC
Organization’s Mailing Address 535 W52 ST UNIT 7D
City NEW YORK
State NY
ZIP 10019
Accounting period End 12
Primary contact name MICHAEL HAGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL HAGER
EXECUTIVE DIRECTOR
535 W52 ST UNIT 7D
NEW YORK NY 10019

Officer/Director/Trustee Two

GEMELL DAVIS
FINANCE DIRECTOR
231 W148 ST UNIT 4K
NEW YORK NY 10039

Officer/Director/Trustee Three

PHILIP CLAPHAM
COMMUNICATIONS DIRECTOR
85-05 35 AVE UNIT 3E
JACKSON HEIGHTS NY 11372

Officer/Director/Trustee Four

JOSEPH THOMPSON
OPERATIONS DIRECTOR
1830 PUTNAM AVE UNIT 3L
RIDGEWOOD NY 11385

Organization’s website
Organization’s email IMPACTNYC@POZALLIANCE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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